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Type: Artigo de periódico
Title: [pap Smear, Hybrid Capture Ii, And Visual Inspection In Screening For Uterine Cervical Lesions].
Author: Gontijo, Renata Clementino
Derchain, Sophie Françoise Mauricette
Montemor, Eliana Borin Lopes
Sarian, Luis Otávio Zanatta
Serra, Márcia Milena Pivatto
Zeferino, Luiz Carlos
Syrjanen, Kari Juhani
Abstract: The objective of this study was to evaluate alterations in Pap smear, hybrid capture II (HCII), and visual inspection with acetic acid (VIA) in 684 women treated at a primary health care unit. The performance and agreement of the exams were evaluated. The study also described social, demographic, and reproductive factors and their association with uterine cervical lesions. Women had specimens taken for Pap smear, HCII, and VIA. When at least one of the tests was positive, colposcopy was performed and targeted biopsies were taken from any suspicious lesions. Performance of tests was evaluated. Women's distribution in relation to social, demographic, and reproductive factors and histological diagnosis was evaluated using the odds ratio. Among 198 women with at least one positive screening test, only 21 showed histological disease. Sensitivities of the tests were similar. VIA and Pap smear presented higher specificity than HCII. Only absence of a previous Pap smear was associated with the presence of histological disease. Pap smear performed better than VIA and HC II. Absence of previous cytology was associated with histological disease.
Subject: Acetic Acid
Dna, Viral
Epidemiologic Studies
Mass Screening
Middle Aged
Nucleic Acid Hybridization
Papanicolaou Test
Papillomavirus Infections
Physical Examination
Precancerous Conditions
Uterine Cervical Diseases
Uterine Cervical Neoplasms
Vaginal Smears
Rights: aberto
Identifier DOI: /S0102-311X2005000100016
Date Issue: -1-Uns- -1
Appears in Collections:Unicamp - Artigos e Outros Documentos

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